| NPI | 1336833276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP027666) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN740659) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-08-15 |